We carried out an announced focussed inspection at Bradley Stoke Surgery on 13 December 2019 as part of our inspection programme.
We carried out an inspection of this service following our annual review of the information available to us including information provided by the practice. Our review indicated that there may have been a change (either deterioration or improvement) to the quality of care provided since the last inspection.
This inspection focused on the following key questions:
- Are services effective?
- Are services responsive?
- Are services well led?
Because of the assurance received from our review of information we carried forward the ratings for the following key questions:
- Are services safe? (Good)
- Are services caring? (Good)
At our last inspection in June 2016, we noted some areas where the practice should make improvements. These were:
- The practice should record emergency equipment checks for all the equipment designated for this purpose to ensure it is still within its ‘use by’ date.
- The practice should formalise their clinical cleaning schedules and include equipment not in daily use.
- The practice should implement their legionella protocol.
- The practice should ensure the recruitment procedure is applied to all posts.
At this inspection, we saw evidence that all the above areas had been addressed and improvements made.
We based our judgement of the quality of care at this service on a combination of:
- what we found when we inspected
- information from our ongoing monitoring of data about services and
- information from the provider, patients, the public and other organisations.
We have rated this practice as good overall. The service was rated as good for providing effective, responsive and well led services including for the six population groups because:
- People had good outcomes because they received effective care and treatment that met their needs.
- Information about people’s care and treatment was routinely collected, monitored and acted upon.
- The practice organised and delivered services to meet patients’ needs. Patients could access care and treatment in a timely way.
- The way the practice was led and managed promoted the delivery of high-quality, person-centre care.
- Clinical and internal audit processes functioned well and had a positive impact in relation to quality governance.
- Leaders demonstrated they had the capacity and skills to deliver high quality, sustainable care and were able to support innovation, implementation of processes and the continuous monitoring of patient care.
The areas where the provider should make improvements are:
- Continue to review arrangements to improve the uptake of cervical screening.
Details of our findings and the evidence supporting our ratings are set out in the evidence tables.
Dr Rosie Benneyworth BM BS BMedSci MRCGP
Chief Inspector of Primary Medical Services and Integrated Care